NPI | 1730414152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101254281) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194401) |
Enumeration Date | 2009-10-03 |
Last Update Date | 2021-03-31 |